Provider Demographics
NPI:1588928444
Name:BALDWIN, JAMES B III (DPM)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:BALDWIN
Suffix:III
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 29036
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23242-0036
Mailing Address - Country:US
Mailing Address - Phone:804-273-1717
Mailing Address - Fax:804-273-1834
Practice Address - Street 1:7493 RIGHT FLANK RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-3846
Practice Address - Country:US
Practice Address - Phone:804-273-1717
Practice Address - Fax:804-273-1834
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103301127213E00000X, 213EP1101X, 213ES0103X
PASC006378213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0103301127OtherVIRGINIA STATE MEDICAL LICENSE
VA1588928444Medicaid
VA0103301127OtherVIRGINIA STATE MEDICAL LICENSE
VA1588928444Medicaid